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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/nhqdr19/index.html
July 01, 2023 - The report is produced with the help of an Interagency Work Group led by AHRQ.
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/nhqdr22/index.html
July 01, 2023 - The report is produced with the help of an Interagency Work Group led by AHRQ.
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/nhqdr21/index.html
July 01, 2023 - The report is produced with the help of an Interagency Work Group led by AHRQ.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
January 01, 2022 - • The ICARE TOC Program
o Investigators will develop a pharmacist-led hospital-community
collaborative
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ce.effectivehealthcare.ahrq.gov/sops/events/webinars/just-culture.html
December 01, 2018 - the webcast included strategies used to implement Just Culture in a health care system and how these led
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
December 01, 2017 - Slide 4: Advances in Medicine: Lingering Contradictions
Advances in medicine have led to positive … A medication look-alike incident led to an intervention where education was conducted, medications were … What systems may have led to these events?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - Primary care-based care transitions All three studies demonstrated reduced hospital readmission
programs led … Several articles examined in the section about readmission reduction efforts led by payers show
the … examined potential key components for the conceptual framework,
or perhaps more broadly, the primary care-led … , many existing primary care-based care
coordination models can be used to inform the primary care-led … other primary care transformation efforts currently
taking place, such as advanced PCMHs and provider-led
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
August 07, 2012 - rounds conducted in an open forum (all team members could participate and make suggestions) or closed (led
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ce.effectivehealthcare.ahrq.gov/takeheart/training/learning-community-webinars/index.html
December 01, 2022 - Informatics, Office of Quality & Risk, Emory Healthcare
This webinar for hospitals with Cerner EHRs was led … Support, Mass General Brigham Digital Health eCare
This webinar for hospitals with Epic EHRs was led
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/toolkit/PharmSOPSform.pdf
June 06, 2018 - When a mistake happens, we try to figure out what
problems in the work process led to the mistake . … Mistakes have led to positive changes in this
pharmacy.............................................
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/data-spotlights/index.html
March 01, 2024 - COVID-19 Pandemic Led to Long Absences, Reduced Hours, and Job Exits Among the U.S.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/system-design_0.pdf
July 01, 2011 - RTI International in Research Triangle
Park, N.C., and Consumers Advancing Patient
Safety, a consumer-led
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/motzslides.pdf
May 12, 2014 - discuss mistakes
– We talk about ways to
prevent mistakes from
happening again
– Mistakes have led
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ce.effectivehealthcare.ahrq.gov/cpi/centers/cepi/miller-bio.html
September 01, 2023 - Most recently, Tess was part of the team that led the EvidenceNOW: Advancing Heart Health, AHRQ’s national
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
December 01, 2017 - Try to find out what exactly led to the defect. … Simulate the process that led to the defect. … ASK:
Were these contributing factors that led to or exacerbated the harm? … What led to the next factor that contributed to the defect occurring? … Incompatible blood types could have led to an egregious patient harm.
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ce.effectivehealthcare.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
June 01, 2018 - Several of these endeavors have led to improvements in the quality of care and in the health outcomes … In 1993, asthma led to 468,000 hospitalizations, 100 million days of restricted activity annually, and … Responding to this problem, providers have led efforts to make significant improvements in the rate of … These efforts led to a 75-percent decline in adverse drug reactions related to antibiotics.
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ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/themes.html
October 01, 2015 - example, a change in leadership at a university health system studied by one of the TPC investigators led … In a study led by Cooley and McAllister, care coordinators were identified as integral to a practice’ … that acquiring the authority to make decisions empowered them to be more involved in patient care and led … not necessarily with a patient’s regular primary care provider. 10 The study of safety net practices led
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ce.effectivehealthcare.ahrq.gov/takeheart/beyond/million-hearts/index.html
November 01, 2022 - AACVPR
Million Hearts®
Million Hearts ® , a national initiative co-led
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - purpose of this tool is to provide a structured approach to help providers identify the steps that led
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/forming-cuspteam-slides.pptx
January 01, 2017 - Mechanically Ventilated Patients
5
Why Engage Across Disciplines
Successful efforts are—
Informed by science
Led … Program for Mechanically Ventilated Patients
26
Discussion
What strategies have you used that have led